Robot-assisted laparoscopic surgery from the anaesthesiologist’s perspective
Authors:
Jurenka Božetěch 1; Lásziková Eva 1; Köhler Otto 2; Langer Daniel 3; Balcárek Lukáš 1; Henlín Tomáš 1; Netuková Daniela 1; Ryska Miroslav 3
Authors place of work:
Anesteziologicko-resuscitační oddělení ÚVN Praha
1; Urologické oddělení ÚVN Praha
2; Chirurgická klinika 2. LF UK Praha a ÚVN Praha
3
Published in the journal:
Anest. intenziv. Med., 20, 2009, č. 1, s. 8-12
Category:
Anaesthesiology - Review Article
Summary
Robot-assisted laparoscopic surgery is a new and rapidly developing technology of the last decade. The surgeon takes advantage of the 3D surgical field imaging and manipulation scope beyond the capability of the current laparoscopic instruments. An uncomplicated course of robotic surgery significantly shortens the length of hospital stay compared to standard open surgery. On the other hand a robotic surgical system carries high acquisition and operating costs.
It remains to be seen whether robot-assisted surgical procedures are safe and minimal-invasive even in patients with multiple comorbidities.
Keywords:
Da Vinci Robotic Surgical System® – pathophysiology – perioperative stress – anaesthetic management – postoperative care – minimal invasive
Zdroje
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3. Streich, B., Decailliot, F., Perney, C., Duvaldestin, P. Increased carbon dioxide absorption during retroperitoneal laparoscopy. BJA, 2003, 91, p. 793–796.
4. Phong, S. V., Koh, L. K. Anaesthesia for robotic-assisted radical prostatectomy: considerations for laparoscopy in the Trendelenburg position. Anaesthesia and Intensive Care, 2007, 35, 2, p. 281–285.
5. Patel, V. R., Chammas, F.M. jr., Shah, S. Robotic assisted laparoscopic radical prostatectomy: a review of the current state of the affairs. International Journal of Clinical Practice, 2007, 61, 2, p. 309–314.
6. Link, R. E. et al. A Prospective Comparison of Robotic and Laparoscopic Pyeloplasty. Annals of Surgery, 2006, 243, 4, p. 486–491.
7. Scales, C. D., Charles, D. et al. Local cost structures and the economics of robot assisted radical prostatectomy. Journal of Urology, 2005, 174, 6, s. 2323–2329.
8. Breitenstein, S. et al. Robotic-assisted Versus Laparoscopic Cholecystectomy: Outcome and Cost Analyses of a Case-matched Control Study. Annals of Surgery, 2008, 247, 6, p. 987–993.
Štítky
Anaesthesiology, Resuscitation and Inten Intensive Care MedicineČlánok vyšiel v časopise
Anaesthesiology and Intensive Care Medicine
2009 Číslo 1
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